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Spermatocytic Seminoma of the Testis

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Posted by fatima.shakeel@opmc.co | Oct 12, 2024

What is Spermatocytic Seminoma of the Testis?

Spermatocytic Seminoma of Testis is a rare and aggressive type of testicular tumour that grows quickly and can potentially spread to other parts of the body. Despite its rapid growth, it generally has a favorable prognosis. This type of tumour accounts for only 1-2% of all testicular cancers and is typically diagnosed in men around the age of 54.

Causes

The exact cause of spermatocytic seminoma is not well understood. It originates from the cells in the testicles that produce sperm (spermatogonia). When these germ cells fail to fully develop, they can grow and divide uncontrollably, leading to the formation of a tumour.

Signs and Symptoms

Common signs and symptoms of spermatocytic seminoma include:

  • Pain and swelling on one side of the scrotum
  • A noticeable mass or lump in the testicle
  • Enlargement of lymph nodes in the pelvic or groin area

Diagnosis

Several diagnostic procedures can help identify spermatocytic seminoma, including:

  • Imaging Tests: Ultrasound (USG), CT scans, MRI, and X-rays can be used to determine the size, location, and extent of the tumour.
  • CT Scan: This helps assess whether the tumour has spread to other areas of the body.
  • Biopsy: A small tissue sample is taken and examined under a microscope to confirm the presence of cancer cells.
  • Tumour Markers: Certain proteins, such as alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (B-HCG), may be tested to help with diagnosis and monitoring.

Treatment

The primary treatment for spermatocytic seminoma is the surgical removal of the affected testicle (orchiectomy). Depending on the stage of the cancer and whether it has spread to other areas like the lungs, bones, or lymph nodes, additional treatments such as chemotherapy and radiation therapy may be recommended. The choice of treatment is based on the tumour’s spread and overall prognosis.


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